Dusanka Angelov
Dentist, General Practice in Daytona Beach, FL. Individual provider (NPI-1).
NPI number1720179062
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720179062
- Entity type
- Individual (NPI-1)
- Name
- Dusanka Angelov
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN16268 | FL | Yes |
Practice location
1500 West BevilleUnit # 403
Daytona Beach, FL 32114
Phone 386-253-6634
Mailing address
2502 North Rocky Point DriveSuite 1000-Credentialing
Tampa, FL 33607
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